Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $36.90 / $99.00	Facility		$5.04	$36.90	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.93 / $6.10	Professional		$3.01	$3.93	$6.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $3.08	Professional		$2.71	$2.71	$3.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $5.77 / $15.64	Facility		$3.35	$5.77	$15.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $3.35 / $9.06	Professional		$1.67	$3.35	$9.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $4.51 / $7.23	Facility		$2.94	$4.51	$7.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $4.51	Professional		$2.94	$2.94	$4.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $9.94 / $13.89	Facility		$4.03	$9.94	$13.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $5.37 / $6.71	Professional		$2.29	$5.37	$6.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.88 / $16.22	Professional		$4.94	$5.88	$16.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.22 / $1,388.86 / $1,707.55	Facility		$1,156.22	$1,388.86	$1,707.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.30 / $8.26	Professional		$2.02	$3.30	$8.26